Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,629.82 / $10,061.00 / $20,509.00	Facility		$2,629.82	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,259.09 / $2,716.63 / $15,552.10	Professional		$2,259.09	$2,716.63	$15,552.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,974.88 / $12,360.00 / $23,933.00	Facility		$3,974.88	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,345.21 / $4,371.89 / $8,562.00	Professional		$3,345.21	$4,371.89	$8,562.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,253.33 / $1,945.69 / $4,852.22	Professional		$1,253.33	$1,945.69	$4,852.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.29 / $3,734.33 / $10,708.08	Professional		$2,800.29	$3,734.33	$10,708.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,362.30 / $3,710.63	Professional		$900.22	$1,362.30	$3,710.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,851.28 / $3,685.68 / $6,542.67	Professional		$2,851.28	$3,685.68	$6,542.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $52,992.14 / $65,425.93	Facility		$55.00	$52,992.14	$65,425.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,055.76 / $21,600.72 / $25,721.93	Professional		$21,055.76	$21,600.72	$25,721.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,501.66 / $3,495.29 / $4,947.50	Facility		$2,501.66	$3,495.29	$4,947.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,667.57 / $3,734.33 / $8,390.68	Professional		$2,667.57	$3,734.33	$8,390.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,649.79 / $9,649.79 / $9,649.79	Professional		$9,649.79	$9,649.79	$9,649.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,589.35 / $3,424.48	Professional		$900.22	$1,589.35	$3,424.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,421.38 / $3,589.68 / $9,713.29	Professional		$2,421.38	$3,589.68	$9,713.29